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Text File  |  1992-11-20  |  2KB  |  54 lines

  1.                               
  2.               Duke Nukem Extension Set One Shareware Registration
  3.                               
  4.                                  Tony Kamin        
  5.                              333 Northern Avenue
  6.                             Green Bay, WI   54303
  7.                              
  8.  
  9.  
  10.    Quantity                                          Price       Total
  11.    ______________________________________________________________________
  12.  
  13.    ______ Duke Nukem Ext Set One Registered Ver.    $7.00ea   _______.___
  14.  
  15.                                          Shipping - $1.00     _____$1.00_
  16.  
  17.  
  18.                                                Order Total    _______.___
  19.  
  20.  
  21.    Disk Size:  5.25" _____  3.5" _____
  22.  
  23.  
  24.    Please send check or money order to the name and address above, drawn 
  25.    on US Bank for full amount. Canadian Postal Money Order in US Dollars 
  26.    or International Bank draft also accepted.
  27.  
  28.  
  29.  
  30.    Ship To:     Name  ______________________________________________
  31.  
  32.              Address  ______________________________________________
  33.  
  34.                 City  _______________________ State ____ Zip _______
  35.  
  36.  
  37.  
  38.    Where did you obtain this file? _______________________________________
  39.  
  40.  
  41.    Any Additional Comments _______________________________________________
  42.  
  43.    _______________________________________________________________________
  44.  
  45.    _______________________________________________________________________
  46.  
  47.    _______________________________________________________________________
  48.  
  49.    _______________________________________________________________________
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  51.    _______________________________________________________________________
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